| NPI | 1962074948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN.467968) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001268548) |
| 163W00000X Registered Nurse (Licence: CA 799426) | |
| 163W00000X Registered Nurse (Licence: OH RN.467968) | |
| Enumeration Date | 2021-07-11 |
| Last Update Date | 2023-10-16 |